SHAWN ANDREASEN (NPI# 1760923635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760923635 |
| Entity Type | Individual |
| Full Name | SHAWN ANDREASEN |
| Practice Address |
Byu Idaho Student Health Center 179 Ctr Rexburg ID 83460-0001 |
| Practice Telephone | 2084969341 |
| Practice Fax Number | 2084969343 |
| Mailing Telephone | 2084969341 |
| Mailing Fax Number | 2084969343 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5730 | ID | Pharmacy Service Providers |
| Street Address |
BYU IDAHO STUDENT HEALTH CENTER 179 CTR |
| City | REXBURG |
| State | ID |
| Zip Code | 83460-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405111 | Analee Fish | Nurse Practitioner | Byui Student Health Center, Rexburg, ID 83460-0001 | 2019-09-05 |
| 1992726962 | Byu Id Student Hlth Cntr PChy | Pharmacy | 179 Student Hlth Ctr, Rexburg, ID 83460-0001 | 2006-07-22 |
| 1528097102 | Terry J. Anderson | Physician Assistant | 100 Shc Drive Byui, Rexburg, ID 83460-2010 | 2006-07-03 |
| 1558348649 | Hans Thurgood Redd | Internal Medicine | 100 Shc, Rexburg, ID 83460-2010 | 2005-12-29 |
| 1528044955 | David G Holland | Nurse Practitioner | Sch 100, Rexburg, ID 83460-2010 | 2005-12-19 |
| 1760467625 | Lori Ann Parker | Nurse Practitioner | Shc 100, Byu Idaho, Rexburg, ID 83460-2010 | 2005-12-13 |
| 1588654628 | Glade Southam | Nurse Practitioner | Byu - Idaho, 100 Shc, Rexburg, ID 83460-2010 | 2005-10-27 |
| 1538347034 | Byu Idaho Student Health Center | Clinic/Center | 100 Shc, Rexburg, ID 83460-2010 | 2008-02-06 |
| 1043297138 | Nancy Nadine Olsen | Nurse Practitioner | Shc 100, Rexburg, ID 83460-2010 | 2005-12-29 |
| 1831175231 | Jud E Miller | Family Medicine | Shc 100, Brigham Young University Idaho, Rexburg, ID 83460-2010 | 2005-12-16 |
| Find all providers in zip 83460 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1356891808 | Melanie M Johnson | Pharmacist | 621 Eaglewood Dr, Rexburg, ID 83440-5253 | 2016-10-08 |
| 1740566876 | Brandi E Slachter | Pharmacist | 164 E Main Street, Rexburg, ID 83440 | 2011-11-03 |
| 1639455371 | Emily L Stirling | Pharmacist | 262 E 2nd N, Rexburg, ID 83440-1626 | 2011-10-26 |
| 1245456359 | Scott J Webster | Pharmacist | 530 N 2nd E, Rexburg, ID 83440-3566 | 2007-04-17 |
| 1376192674 | David Howard Anderson | Pharmacist | 450 E Main St, Rexburg, ID 83440-2048 | 2019-09-09 |
| 1790278760 | Allen Terry Miller | Pharmacist | 450 E Main St, Rexburg, ID 83440-2048 | 2018-06-13 |
| 1831682194 | Dorsie Thomas Sullenger | Pharmacist | 450 E Main St, Rexburg, ID 83440-2048 | 2018-06-12 |
| 1982055620 | Jeremy Davis | Pharmacist | 164 E Main St, Rexburg, ID 83440-1912 | 2016-06-23 |
| 1649646878 | Jeffrey Dahlke | Pharmacist | 530 N 2nd E, Rexburg, ID 83440-3566 | 2015-08-11 |
| Find all providers in REXBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.